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Improving Compliance with 24-H Urine Collections: Understanding Inadequacies in the Collection Process and Risk Factors for Poor Compliance

  • Endourology (P Mucksavage and B Somani, Section Editors)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review paper is to describe the 24-h urine collection in terms of its utility, collection process, and common problems with its acquisition.

Recent Findings

Although 24-h urine collections are standard of care for high-risk stone formers, several nuances in test acquisition including inaccurate urine collections 50% of the time and poor patient compliance limit its potential utility. Compliance in obtaining 24-h urine collections has been shown to be improved in patients who have not undergone surgical treatment of urinary calculi, patients with metabolic stone disease or family history of stone disease, Caucasian ethnicity, and in those with more sedentary occupations. Studies show conflicting data of compliance regarding patient age and gender.

Summary

Physicians must understand the difficulties regarding 24-h urine collections including patient compliance, variability between collections, and complexities with interpretation to best utilize this tool in guiding clinical management for the treatment of nephrolithiasis.

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Authors and Affiliations

  1. Department of Urology, Einstein Healthcare Network, 1200 W. Tabor Road 3 Sley Building/MossRehab, Philadelphia, PA, 19141, USA

    Alice Xiang, Alex Nourian, Eric Ghiraldi & Justin I. Friedlander

  2. Division of Urologic Oncology and Urology, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA

    Justin I. Friedlander

Authors
  1. Alice Xiang
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  2. Alex Nourian
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  3. Eric Ghiraldi
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  4. Justin I. Friedlander
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Correspondence to Justin I. Friedlander.

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Conflict of Interest

Alice Xiang, Alex Nourian, and Eric Ghiraldi each declare no potential conflicts of interest. Dr. Friedlander is a consultant for Travere Therapeutics, and has received personal fees outside the submitted work.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Xiang, A., Nourian, A., Ghiraldi, E. et al. Improving Compliance with 24-H Urine Collections: Understanding Inadequacies in the Collection Process and Risk Factors for Poor Compliance. Curr Urol Rep 22, 38 (2021). https://doi.org/10.1007/s11934-021-01057-7

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  • DOI: https://doi.org/10.1007/s11934-021-01057-7

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